At least one sexual dysfunction reported by 40–45%of women and 20–30% of men

What is the DSM definition of a sexual disorder?

- A clinically significant disturbance in a person’s ability to respond sexually or to experience sexual pleasure- A minimum duration of 6 months- Experienced on almost all or all occasions of sexual activity (75%-100%)

specifiers - lifelong or aquired - generalised or situational - severity based on level of distress (or time in case of ejaculation)

3

How are sexual dysfunctions categorised in the DSM 5?

Moving away from Kaplan’s 3 stages towards gender based categories.

Dysfunction is based on gender and stage of sexual activity (desire, arousal, orgasm and pain)

4

What are the characteristics of Erectile disorder (ED)?

This is a male sexual arousal disorder characterised by difficulty in obtaining or maintaining erection or markeddecrease in erectile rigidity

Up to 50% of males will have erectile difficulties at some stage - likelihood increases steadily with age- likelihood increases with smoking, substance abuse, diabetes etc

often spontaneous remitts

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What are the characteristics of Female Sexual arousal disorder?

Difficulty attaining or maintaining adequatelubrication until completion of the sexual act

Prevalence rates uncertain due to high overlap withother female sexual disorders: 30-50% & Less research focused on females

Treatment- Patients are unaware of available resources- Lack of referral- Embarrassment (patients and/or GP providers)- Lack of engagement (either or both partners)- Minimal attention to partners (not included or assessed)